Active NPI 1083908396 Individual Practitioner Male Practitioner

Dr. Ehsan Ghetmiri , MD

Hospitalist • Fullerton, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ehsan Ghetmiri, MD is a certified Hospitalist practicing in Fullerton, CA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Ghetmiri delivers high-quality medical care to the local community at 101 E VALENCIA MESA DR.

Dr. Ghetmiri is affiliated with Providence Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E Valencia Mesa Dr

Fullerton, CA 928353809

Telephone 7149923969

Associated Practice Facility / Clinic

🏢 Fullerton Anesthesia Associates, A Medical Group, Inc. Facility NPI 1144278433

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Fullerton, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Fullerton, CA (3108 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghetmiri (21 Years) 21 Yrs

Fullerton Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	300	118	$337.00	$122.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	70	$224.00	$81.21
99239 Hospital discharge day management, more than 30 minutes	112	112	$329.00	$119.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	78	$493.00	$179.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	37	$157.00	$84.75
99239 Hospital discharge day management, more than 30 minutes	19	19	$236.00	$123.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$441.00	$185.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	49	$128.37	$75.16
99239 Hospital discharge day management, more than 30 minutes	27	27	$189.00	$111.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$370.20	$209.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$66.47	$40.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	65	$72.21	$71.41
99239 Hospital discharge day management, more than 30 minutes	63	59	$108.41	$109.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	23	$39.35	$38.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$203.38	$205.17
99217 Hospital observation care on day of discharge	12	12	$73.04	$73.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	182	67	$75.68	$76.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	32	$41.04	$41.38
99239 Hospital discharge day management, more than 30 minutes	46	43	$112.39	$113.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	23	$211.59	$213.79
99217 Hospital observation care on day of discharge	18	18	$76.26	$76.78
99238 Hospital discharge day management, 30 minutes or less	17	16	$76.62	$77.38
99219 Hospital observation care, typically 50 minutes	14	14	$141.62	$142.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$143.62	$145.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	231	99	$74.45	$74.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	44	$40.39	$40.26
99239 Hospital discharge day management, more than 30 minutes	81	77	$110.82	$110.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	33	$208.88	$208.25
99217 Hospital observation care on day of discharge	23	23	$75.11	$74.88
99220 Hospital observation care, typically 70 minutes	15	13	$190.71	$190.13
99219 Hospital observation care, typically 50 minutes	15	15	$139.74	$139.31
99225 Subsequent observation care, typically 25 minutes per day	14	13	$74.81	$74.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$141.41	$140.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	147	74	$74.44	$72.55
99239 Hospital discharge day management, more than 30 minutes	58	55	$111.66	$107.17
99217 Hospital observation care on day of discharge	40	39	$75.80	$72.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	18	$40.85	$38.62
99220 Hospital observation care, typically 70 minutes	26	26	$194.43	$181.68
99225 Subsequent observation care, typically 25 minutes per day	18	17	$76.97	$70.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$208.50	$205.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$106.95	$105.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	293	84	$74.44	$72.48
99238 Hospital discharge day management, 30 minutes or less	35	34	$76.08	$73.78
99239 Hospital discharge day management, more than 30 minutes	31	31	$110.65	$108.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$208.50	$205.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$106.95	$105.24
99217 Hospital observation care on day of discharge	13	13	$74.79	$73.59

Medical Specialties & State Licenses

CMS Verified: 2024-01-23

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License CA A127383

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CA A127383

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Secondary Practice Locations

11 Technology Dr

Irvine, CA 926182302

Phone: 8552066764

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Andrew Duke , MD

Internal Medicine - Critical Care Medicine

NPI 1013986959

Doctor of Medicine (M.D.)

Dr. Patrick Su , DO

Internal Medicine

NPI 1124409719

Doctor of Osteopathic Medicine (D.O.)

Dr. Manisha Goel , MD

Hospitalist

NPI 1164608063

Doctor of Medicine (M.D.)

Katerina Perez , NP

Nurse Practitioner

NPI 1205227089

Nurse Practitioner

Dr. Sara Choi , DO

Internal Medicine

NPI 1346876349

Doctor of Osteopathic Medicine (D.O.)

Dr. Pengyi Zhu , DO

Internal Medicine

NPI 1558941948

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location January 23, 2024

Registered at 101 E VALENCIA MESA DR, FULLERTON, CA 928353809 (Tel: 7149923969)

📍

Updated Practice Location June 07, 2022

Registered at 11 TECHNOLOGY DR, IRVINE, CA 926182302 (Tel: 8552066764)

📍

Updated Business Mailing Address June 07, 2022

Registered at 11 TECHNOLOGY DR, IRVINE, CA 926182302 (Tel: 8552066764)

📍

Updated Practice Location May 24, 2018

Registered at 600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220 (Tel: 9517694875)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Internal Medicine (License #A127383 in CA)

✅

NPI Profile Active October 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2014

Registered at 600 N HIGHLAND SPRINGS AVE, BANNING, CA 922203046 (Tel: 9517694875)

📍

Updated Business Mailing Address October 10, 2014

Registered at PO BOX 10069, SAN BERNARDINO, CA 924230069 (Tel: 9093354188)

👤

Provider Name / Credentials Updated October 10, 2014

Recorded as EHSAN GHETMIRI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2014

Internal Medicine (License #MT200006 in PA)

🟢

Initial NPI Registration & Enumeration June 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083908396

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 03, 2011

Last Update: January 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11 Technology Dr

Irvine, CA 926182302

Phone: 8552066764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.